Individual
VALERIE L SHERIDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3035 S ELLSWORTH RD, SUITE 104, MESA, AZ 85212
(480) 354-7478
(480) 354-7480
Mailing address
PO BOX 51058, MESA, AZ 85208-0053
(480) 354-7478
(480) 354-7480
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3977
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
832065
—
AZ
01
—
AZ0743390
BCBS
AZ
Enumeration date
11/08/2005
Last updated
02/07/2008
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